01D2171550 CLIA NUMBER - WALMART PHARMACY 10-4187

Laboratory Demographics

  • CLIA Code: 01D2171550
  • Facility Name: WALMART PHARMACY 10-4187
  • Facility Address: 2701 CLOVERDALE ROAD
    FLORENCE, AL
    ZIP 35633
  • Facility Phone: 256 712-6410
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BROOKE DARBY
  • NPI Number: 1649609678
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 01D2171550
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4187
Street 2701 CLOVERDALE ROAD
City FLORENCE
State AL
ZIP 35633
Phone 256 712-6410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Pharmacy
Lab Director BROOKE DARBY

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This page was last updated on: 9/29/2025